Yıl: 2015 Cilt: 61 Sayı: 3 Sayfa Aralığı: 203 - 210 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing

Öz:
Amaç: Görsel uzaysal ihmalin orofaringeal yutmanın elektrofizyolojik parametrelerine etkisini değerlendirmek.Gereç ve Yöntemler: Çalışmaya 26 sağlıklı gönüllü ve yutma şikayeti olan 42 inmeli hasta dahil edildi. Hastalar görsel uzaysal ihmali olan sol hemiplejik hastalar, görsel uzaysal ihmali olmayan sol hemiplejik hastalar ve görsel uzaysal ihmali olmayan sağ hemiplejik hastalar olmak üzere 3 gruba ayrıldı. Hastalar su içerken, submental elektromyografik aktivite ve laringeal vertikal hareketler elektrofizyolojik olarak kayıtlandı.Bulgular: Faringeal yutmanın tetiklenmesi için geçen süre (A-0) ve orofaringeal yutmanın faringeal faz süresi (A-C) görsel uzaysal ihmali olan sol hemiplejik hastalarda diğer gruplara göre anlamlı olarak uzamıştı (p<0,05). Görsel uzaysal ihmali olan sol hemiplejik hastalarda diğer gruplarla karşılaştırıldığında 0-2 aralığı uzamış ve disfaji limiti azalmıştı. Ancak bu uzama ve azalma sağlıklı gönüllü grupla karşılaştırılmada anlamlı iken (p<0,05), görsel uzaysal ihmali olmayan hemiplejik hastalarla karşılaştırmada istatistiksel olarak anlamlı değildi (p>0,05). Sonuç: Algısal eksiklikler, orofarinksin uyaran algılama ve tanımlama kapasitesinde azalma yaparak, disfaji gelişiminde önemli rol oynarlar. Sonuç olarak, ihmali olan hastalar, disfaji şikayeti olsun ya da olmasın, yutma problemleri açısından değerlendirilmelidirler
Anahtar Kelime:

Konular: Rehabilitasyon

Görsel Uzaysal İhmal Sendromunun Orofaringeal Yutmanın Elektrofizyolojik Ölçütleri Üzerine Etkisi

Öz:
Objective: The aim of this study was to determine the effect of visuospatial neglect on the electrophysiological parameters of oropharyngeal swallowing.Material and Methods: Twenty-six healthy volunteers and 42 stroke patients with complaints of dysphagia were included in the study. The patients were grouped as left hemiplegic patients with visuospatial neglect, left hemiplegic patients without visuospatial neglect, and right hemiplegic patients without visuospatial neglect. Submental electromyographic activity and laryngeal vertical movements were electrophysiologically recorded while each subject swallowed water.Results: The time required for triggering the pharyngeal phase of swallowing (A-0) and the duration of the pharyngeal phase of oropharyngeal swallowing (A-C) were significantly prolonged in left hemiplegia patients with neglect compared with the patients in the other groups (p<0.05). The time necessary for the elevation, closure, and upward relocation of the larynx (0-2 interval) was prolonged, and the dysphagia limit was decreased in the left hemiplegia patients with neglect compared with the patients in the other groups. The prolongation of larynx movement and decrease in dysphagia limit in patients with neglect were significantly different to the relative measures in the healthy volunteer group (p<0.05) but not to those in the patients without neglect (p>0.05).Conclusion: Perceptual deficit is apt to play a significant role in the development of dysphagia via reduced stimulus detection and discriminative capacity in the oropharynx. Thus, we propose that stroke patients with neglect may require a swallowing evaluation, regardless of whether they have complaints of dysphagia
Anahtar Kelime:

Konular: Rehabilitasyon
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Månsson I, Sandberg N. Effect of surface anaesthesia on deglutition in man. Laryngoscope 1974;84:427-37. [CrossRef]
  • Månsson I, Sandberg N. Oro-pharyngeal sensitivity and elicitation of swallowing in man. Acta Otolaryngol 1975;79:140-5. [CrossRef]
  • Miller AJ. Significance of sensory inflow to the swallowing reflex. Brain Res 1972;43:147-59. [CrossRef]
  • Miller AJ. Deglutition. Physiol Rev 1982;62:129-84.
  • Aviv JE, Martin JH, Sacco RL, Zagar D, Diamond B, Keen MS, et al. Supraglottic and pharyngeal sensory abnormalities in stroke patients with dysphagia. Ann Otol Rhinol Laryngol 1996;105:92-7. [CrossRef]
  • Aviv JE, Sacco RL, Thomson J, Tandon R, Diamond B, Martin JH, et al. Silent laryngopharyngeal sensory deficits after stroke. Ann Otol Rhinol Laryngol 1997;106:87-93. [CrossRef]
  • Rizzolatti G, Berti A. Neglects as a neural representation deficit. Re- view of Neurology 1990;146:626-34.
  • Bisiach E, Capitani E, Porta E. Two basic properties of space represen- tation in the brain: Evidence from unilateral neglect. J Neurol Neuro- surg Psychiatry 1985;48:141-4. [CrossRef]
  • Robertson IH, Halligan PW. Spatial Neglect: A Clinical Handbook for Diagnosis and Treatment. Hove, United Kingdom: Psychology Press Ltd, 1999:6.
  • Stone SP, Wilson BA, Wroot A, Halligan PW, Lange LS, Marshall JC, et al. The Assesment of Visuospatial Neglect After Acute Stroke. J Neurol Neurosurg Psychiatry 1991;54:345-50. [CrossRef]
  • Sunderland A, Wade DT, Langton-Hewer R. The natural history of visual neglect after stroke: indications from two methods of assess- ment. J Int Disabil Stud 1987;9:55-9. [CrossRef]
  • Stone SP, Patel P, Greenwood RJ, Halligan PW. Measuring visual neglect in acute stroke and predicting its recovery: the visual neglect recovery index. J Neurol Neurosurgery Psychiatry 1992;55:431-6. [CrossRef]
  • Ertekin C, Pehlivan M, Aydoğdu I, Ertaş M, Uludağ B, Celebi G, et al. An electrophysiological investigation of deglutition in man. Muscle Nerve 1995;18:1177-86.
  • Ertekin C, Aydoğdu I, Yüceyar N. Piecemeal deglutition and dyspha- gia limit in normal subject and in patients with swallowing disorders. J Neurol Neurosurg Psychiatry 1996;61:491-6. [CrossRef]
  • Selçuk B, Uysal H, Aydogdu I, Akyuz M, Ertekin C. Effect of tempera- ture on electrophysiological parameters of swallowing. J Rehabil Res Dev 2007;44:373-80. [CrossRef]
  • Weintraub S, Mesulam MM. Mental state assessment of young and elderly adults in behavioral neurology. In: Mesulam MM, ed. Principles of Behavioral Neurology. Philadelphia: F.A. Davis Company, 1985.
  • Karakaş S. BILNOT Battery: Research and Development of Neuropsy- chological Tests. Ankara (Turkey): Dizayn Ofset, 2004.
  • Kurt M, Karakaş S. The Effect of an original attention-related training program on visuospatial neglect. Int J Psychophysiol 2004;54:152-3.
  • Lezak M. Neuropsychological Assessment. (3.Ed), New York: Oxford University Press, 1995.
  • Ertekin C, Aydogdu I. Neurophysiology of swallowing. Clin Neuro- physiol 2003;114:2226-44. [CrossRef]
  • Miller AJ. The neuroscientific principles of swallowing and dysphagia. San Diego, CA/London, Singular Publication Group, 1999.
  • Doods WJ, Stewart ET, Logemann JA. Physiology and radiology of the normal oral and pharyngeal phase of swallowing. AJR Am J Roent- genol 1990;154:953-63. [CrossRef]
  • Ertekin C, Kiylioglu N, Tarlaci S, Turman AB, Secil Y, Aydogdu I. Vol- untary and reflex influences on the initiation of swallowing reflex in man. Dysphagia 2001;16:40-7. [CrossRef]
  • Logeman JA. Evaluation and treatment of swallowing disorders. 2nd edition Austin: TX, Pro-ed Inc, 1998.
  • Veis SL, Logemann JA. Swallowing disorders in persons with cerebral vascular accident. Arch Phys Med Rehabil 1985;66:372-5.
  • Flowers HL, Silver FL, Fang J, Rochon E, Martino R. The incidence, co-oc- curence, and predictors of dysphagia, dysartria, and aphasia after first-ever acute ischemic stroke. J Commun Disord 2013;46:238-48. [CrossRef]
  • Daniels SK, Brailey K, Priestly DH, Herrington LR, Weisberg LA, Foun- das AL. Aspiration in patients with acute stroke. Arch Phys Med Reha- bil 1998;79:14-9. [CrossRef]
  • Johnson ER, Mckenzie SW, Sievers A. Aspiration pneumonia in stroke. Arch Phys Med Rehabil 1993;74:973-6.
  • Aviv JE, Sacco RL, Mohr JP, Thompson JL, Levin B, Sunshine S, et al. Laryngopharyngeal sensory testing with modified barium swallow as predictors of aspiration pneumonia after stroke. Laryngoscope 1997;107:1254-60. [CrossRef]
  • Kumar S, Doughty C, Doros G, Selim M, Lahoti S, Gokhale S, et al. Recovery of swallowing after dysphagic stroke: An analysis of prog- nostic factors. J Stroke Cerebrovasc Dis 2014;14:56-62. [CrossRef]
  • Kidd D, Lawson J, Nesbitt R, Macmahon J. Aspiration in acute stroke: a clinical study with videofluroscopy. Q J Med 1993;86:825-9.
  • Vallar G. The anatomical basis of spatial hemineglect in humans. In: IH Robertson, JC Marshall (Eds), Unilateral neglect: Clinical and ex- perimental studies. Hove: Lawrence Erlbaum Ass, 1993, pp.27-59.
  • Pavani F, Husain M, Ládavas E, Driver J. Auditory deficits in visuo- spatial neglect patients. Cortex 2004;40:347-65. [CrossRef]
  • Fujii T, Fukatsu R, Kimura I, Saso S, Kogure K. Unilateral spatial neglect in visual and tactile modalities. Cortex 1991;27:339-43. [CrossRef]
  • Vallar G, Perani D. The anatomy of unilateral neglect after right hemi- sphere stroke lesions. A Clinical/CT-scan correlations study in man. Neuropsychologia 1987;24:609-22. [CrossRef]
  • Kastner S, Ungerleider LG. Mechanisms of visual attention in the hu- man cortex. Annu Rev Neurosci 2000;23:315-41. [CrossRef]
  • Wyness MA. Perceptual dysfunction: nursing assessment and man- agement. J Neurosurg Nurs 1985;7:105-10. [CrossRef]
  • Falsetti P, Acciai C, Palilla R, Bosi M, Carpinteri F, Zingarelli A, et al. Oropharyngeal dysphagia after stroke: incidence, diagnosis, and clinical predictors in patients admitted to a neurorehabiitation unit. J Stroke Cerebrovasc Dis 2009;18:329-35. [CrossRef]
  • Ertekin C. Clinical diagnosis and electrodiagnosis of swallowing dis- orders. In Swenson M.R. (Ed), Disorders of Speech and Swallowing. AAEM 19th Annual Continuing Education Courses. Johnson, Minne- apolis, MN, 1996, pp. 23-33.
  • Ertekin C, Aydogdu I, Yüceyar N, Tarlaci S, Kiylioglu N, Pehlivan M, et al. Electrodiagnostic methods for neurogenic dysphagia. Electroen- cephalogr Clin Neurophysiol 1998;109:331-40. [CrossRef]
  • Ertekin C, Kiylioglu N, Tarlaci S, Keskin A, Aydogdu I. Effect of mu- cosal anaesthesia on oropharyngeal swallowing. Neurogastroenterol Motil 2000;12:567-72. [CrossRef]
  • Doods WJ, Stewart ET, Logemann JA. Physiology and radiology of the normal oral and pharyngeal phase of swallowing. AJR Am J Roent- genol 1990;154:953-63. [CrossRef]
  • Ertekin C, Aydogdu I, Yüceyar N, Kiylioglu N, Tarlaci S, Uludag B. Pathophysiological mechanisms of oropharyngeal dysphagia in amy- otrophic lateral sclerosis. Brain 2000;123:125-40. [CrossRef]
  • Perlman AL, Palmer PM, McCulloch TM, Vandaele DJ. Electromyo- graphic activity from human laryngeal, pharyngeal and submental muscles during swallowing. J Appl Physiol 1999;86:1663-9.
  • Jean A. Brain stem control of swallowing: neuronal network and cel- lular mechanisms. Physiol Rev 2001;81:929-69.
  • MijovicD. Mechanism of visual spatial neglect. Brain 1991;114:1575- 93. [CrossRef]
  • Schroeder MF, Daniels SK, McClain M, Corey DM, Foundas AL. Clini- cal and cognitive predictor of swallowing recovery in stroke. J Rehabil Res Dev 2006;43:301-10.
  • Ertekin C, Yüceyar N, Aydogdu I. Clinical and electrophysiological evaluation of dysphagia in myasthenia gravis. J Neurol Neorosurg Psychiatry 1998;65:848-56. [CrossRef]
APA SELÇUK B, UYSAL H, kurt m, KURTARAN A, İNANIR M, Sade I, AKYÜZ M (2015). Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing. , 203 - 210.
Chicago SELÇUK Barın,UYSAL Hilmi,kurt murat,KURTARAN Aydan,İNANIR Murat,Sade Ilgın,AKYÜZ Müfit Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing. (2015): 203 - 210.
MLA SELÇUK Barın,UYSAL Hilmi,kurt murat,KURTARAN Aydan,İNANIR Murat,Sade Ilgın,AKYÜZ Müfit Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing. , 2015, ss.203 - 210.
AMA SELÇUK B,UYSAL H,kurt m,KURTARAN A,İNANIR M,Sade I,AKYÜZ M Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing. . 2015; 203 - 210.
Vancouver SELÇUK B,UYSAL H,kurt m,KURTARAN A,İNANIR M,Sade I,AKYÜZ M Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing. . 2015; 203 - 210.
IEEE SELÇUK B,UYSAL H,kurt m,KURTARAN A,İNANIR M,Sade I,AKYÜZ M "Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing." , ss.203 - 210, 2015.
ISNAD SELÇUK, Barın vd. "Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing". (2015), 203-210.
APA SELÇUK B, UYSAL H, kurt m, KURTARAN A, İNANIR M, Sade I, AKYÜZ M (2015). Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 61(3), 203 - 210.
Chicago SELÇUK Barın,UYSAL Hilmi,kurt murat,KURTARAN Aydan,İNANIR Murat,Sade Ilgın,AKYÜZ Müfit Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 61, no.3 (2015): 203 - 210.
MLA SELÇUK Barın,UYSAL Hilmi,kurt murat,KURTARAN Aydan,İNANIR Murat,Sade Ilgın,AKYÜZ Müfit Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.61, no.3, 2015, ss.203 - 210.
AMA SELÇUK B,UYSAL H,kurt m,KURTARAN A,İNANIR M,Sade I,AKYÜZ M Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2015; 61(3): 203 - 210.
Vancouver SELÇUK B,UYSAL H,kurt m,KURTARAN A,İNANIR M,Sade I,AKYÜZ M Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2015; 61(3): 203 - 210.
IEEE SELÇUK B,UYSAL H,kurt m,KURTARAN A,İNANIR M,Sade I,AKYÜZ M "Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 61, ss.203 - 210, 2015.
ISNAD SELÇUK, Barın vd. "Effect of Visuospatial Neglect on Electrophysiological Parameters of Oropharyngeal Swallowing". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 61/3 (2015), 203-210.